Ticket for Outdoor Patient
| Ward No. 29 | U-PHC No. | Registration No. 09316 | Date 19/05/2025 |
| Token No | SM/25-26/2414 22/05/2025 | Serial | 020 |
| Patient Name | Mr. PRAKASH SHAW | Contact No | 8820027533 |
| Address | 97/Z/1 PRAVASHNAGAR SERAMPORE 712249 | Age | 42 YRS Male |
| Token For | Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||